clinical governance

Question 1

what is clinical governance?

(1 mark)

Answer 1

6.1 clinical governance is a continuing process of reflection, analysis and improvement in professional practice for the benefit of the animal patient and the client owner

Question 2

what does clinical governance encompass?

(1 mark)

Answer 2

quality assurance, quality improvement + risk and incident management

Question 3

what may clinical governance include?

(6 marks)

Answer 3

• keeping up to date with continuing professional development
• reflecting upon performance + making appropriate changes to practice
• reflecting on any unexpected critical events, learning from the outcome + making appropriate changes to practice
• critically analysing the evidence base for procedures used and making appropriate changes to practice
• reflecting upon communication with other members of the work team + clients + making appropriate changes to practice
• assessing professional competence in consultation with more experienced / better qualified colleagues + limiting your practice appropriately

Question 4

code of professional code for veterinary nurses?

(5 marks)

Answer 4

• 1.2 veterinary nurses must keep within their own area of competence + refer cases responsibiy
• 1.6 veterinary nurses must communicate with veterinary surgeons + each other to ensure the health + welfare of the animal / group of animals
• 1.7 veterinary nurses must ensure that clinical governance forms part of their professional activities
• 2.5 veterinary nurses must keep clear, accurate + detailed clinical nursing + client records
• 3.3 veteinary nurses must maintain + develop their knowledge + skills relevant to their professional practice + competence + comply with RCVS requirements on the period of supervised practice and continuing professional development

Question 5

what are the 7 pillars of clinical governance?

(7 marks)

Answer 5

• risk management
• clinical audit
• education, training, continuing personal + professional development
• clinical effectiveness
• information
• client + carer experience + involvement
• staffing + staff management

Question 6

example of risk management pillar of clinical governance?

(1 mark)

Answer 6

complience with legal requirements - h&s legislation, COSHH etc

Question 7

example of clinical audit pillar of clinical governance?

(1 mark)

Answer 7

makes up part of practice standards scheme essential for evidence based veterinary medicine, critical event audit

Question 8

example of information pillar of clinical governance?

(1 mark)

Answer 8

IT systems, data protection, etc

Question 9

example of clinical effectiveness pillar of clinical governance?

(1 mark)

Answer 9

clinical audit, reflective practice and evidence based veterinary medicine

Question 10

example of CPD pillar of clinical governance?

(2 marks)

Answer 10

responsibility of the professional to keep their knowledge up to date + meet RCVS requirements. may include recognising one’s limitations

Question 11

example of client involvement pillar of clinical governance?

(1 mark)

Answer 11

communication, education, openness

Question 12

how to implement no blame culture?

(2 marks)

Answer 12

define behavioural standards that lead to outcomes as first principle, rather than outcomes themselves